George Richard Moore, M.D.

NPI #1235153586 in Fayetteville, Georgia

Provider Information

NPI Number
1235153586
Entity Type
Individual
Name
George Richard Moore, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Jul 27, 2006
Last Updated
Dec 24, 2007

Practice Location

Address
1265 HWY 54 W
State
Georgia
ZIP Code
30214
Phone
(770) 997-5714

Specialties & Taxonomy Codes

Specialty
Specialist

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